CMS Price Transparency Data

Total knee replacement

Facility: Crossing Rivers Health Medical Center

Billing Code: 27447 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 27447
Insurance Median: $2,022
Cash Discount Price: $6,159
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Total knee replacement at Crossing Rivers Health Medical Center is $2,022. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,159. Compared to the federal Medicare reimbursement reference rate of $13,116.76, this hospital’s rate is 0.15x the Medicare baseline. Located in 37868 Us Hwy 18, Prairie Du Chien, WI.

Cash / Self-Pay

$6,159

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,022

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13,116.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13,116.76 (100%)

Cash / Self-Pay: $6,159 (47%)

Insurance Median: $2,022 (15%)

Cash: $6,159 (47% of Medicare)

Ins. Median: $2,022 (15% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13,116.76 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Amerigroup Mcr Adv	$1,050	8%
Blue Cross Blue Shield	$1,050 - $2,625	8%
Humana	$1,050	8%
Security Hlth Comm - All Other Plans	$1,050	8%
Security Hlth Mcr Adv	$1,050	8%
UnitedHealthcare	$1,050	8%
Amerigroup Mcaid-All Other Plans	$1,203	9%
Iowa Total Care Mcaid-All Plans	$1,203	9%
Wps - All Plans	$1,418	11%
Quartz - All Plans	$2,741	21%
Group Health Co-Op - All Plans	$4,927	38%
Dean Health Plan - All Plans	$5,851	45%
Health Trad Hp - All Plans	$5,913	45%
Cigna	$5,974	46%
First Health - All Plans	$5,974	46%
Geha - All Plans	$5,974	46%
Health Partners - All Plans	$5,974	46%
Medical Associates Hp - All Plans	$5,974	46%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $6,159.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 27447.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Crossing Rivers Health Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 27447.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.